• Title/Summary/Keyword: 촬영보조자

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Evaluation of Usefulness of Assertive Devices to Improve the Accuracy in Skull lateral X-ray Projection (두개골 측방향 X-선 촬영에서 정확도 향상을 위한 촬영 보조 기구의 유용성 평가)

  • Bo-Seok Chang
    • Journal of the Korean Society of Radiology
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    • v.18 no.2
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    • pp.153-159
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    • 2024
  • In X-ray projection, Unskilled radiologists become skilled through fail exam. This causes the patient to be exposed to unnecessary radiation. In this study, pre-position unskilled radiologic technologist presented ways to improve clinical proficiency. presented a skull lateral x-ray projection practice method using visual, spatial, and assistive devices. In addition, the accuracy and usefulness of the use of assistive devices were evaluated. When X-ray images were taken based on learning, the rotational spacing, which indicates image distortion, was 7.85 ± 1.45 mm and the tiliting spacing was 4.84 ± 0.5 mm. When practicing using visual aids, the rotational spacing is 4.4 ± 0.76 mm and the inclination spacing is 3.01 ± 0.87 mm. using a spatial compensation device, the rotational spacing is 5.2 ± 0.69 mm and the tiliting spacing is 3.33 ± 0.61 mm. Skull lateral X-ray Image distortion caused by empirical photography practice decreased by 5.4%, but image distortion caused by tilting increased by 1.2%. When practicing using a visual assistive devices, the degree of rotational spacing by 40.1% and the tiliting spacing decreased by 30.7% compared to the empirical x-ray exposure practice. When using spatial assistive devices, the rotation interval was reduced by 41.7% and the tilting interval by 23.7% compared to conventional empirical x-ray exposure practice. Therefore, if an unskilled radiologist practices using visual and spatial aids,the accuracy will be improved in skull lateral x-ray projection.

Performance Evaluation of a Convolutional Neural Network Models for Diagnosing Malignant Pleural Effusion Using Positron Emission Tomography (양전자 단층 촬영 영상을 사용한 악성 흉수 진단을 위한 컨볼루션 신경망 기반 딥러닝 모델의 성능 평가)

  • Yeji Kim;Jong-Min Lee;Seung-Jin Yoo;Bo-Guen Kim;Hyun Lee;Yun Young Choi;Soo Jin Lee
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2024.01a
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    • pp.17-18
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    • 2024
  • 악성 흉수의 진단은 세포학적 검사로 암세포를 확인하는 것이 필수적이며 진단율은 50~80%로 나타난다. 양성자 단층 촬영은 비침습적으로 암 병기를 평가하는 유용한 방법이다. 하지만 암이 아닌 다른 원인으로 인한 포도당 대사로 인하여 양전자 단층 촬영만으로 악성 흉수를 진단하는 데 어려움이 있다. 악성 흉수 자동 진단 모델은 암세포를 진단하는데 있어서 보조적인 역할이 가능하다. 이에 따라 본 연구는 컨볼루션 신경망 기반의 딥러닝 모델을 개발하여 악성 흉수 진단 성능을 확인하고 진단의 보조적 목적으로써 딥러닝의 사용 가능성을 확인하고자 하였다. 결과적으로 모델 전반적으로 accuracy 0.7~0.86의 높은 성능을 보였다. 본 연구의 결과를 통해 실제 의료 환경에서 악성 흉수를 진단하는데 딥러닝 모델이 보조적인 역할을 할 수 있을 것으로 기대된다.

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Doses of Pediatric and X-ray Examination Assistants according to Changes in Pediatric X-ray Exposure Conditions (소아 X선 촬영조건 변화에 따른 소아 및 촬영보조자 선량)

  • Beom-Jin Jang;Ha-Yun Nam;Hye-Min Shin;Dong-Min Yun;Seung-Kook Lee;In-Hwa Jang;Sungchul Kim
    • Journal of radiological science and technology
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    • v.46 no.5
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    • pp.409-415
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    • 2023
  • Although pediatric X-ray examinations are continuously increasing, there are not many studies on the radiation exposure to children and X-ray examination assistants according to X-ray Exposure conditions. Accordingly, we measured the radiation exposure dose of pediatric and X-ray examination assistants according to the standard guidelines and clinical average X-ray Exposure conditions when X-ray examination 10-year-old children. The effective dose and organ dose to pediatric were measured using an Dose area production meter and Monte Carlo-based PCXMC program, and the exposure dose of X-ray examination assistants was measured using an ion-chamber. When performing abdominal supine AP projection, the effective dose to children was up to 2.38 times higher under clinical average X-ray Exposure conditions than the standard guidelines. In addition, during abdominal supine AP projection, the radiation exposure dose to the X-ray examination assistants was highest on the hands at 0.0148 ~ 0.0709 mSv, and exposure dose could be reduced by up to 35% when wearing protective gloves. In conclusion, because the X-ray Exposure conditions used in clinical are unnecessarily high, unnecessary medical radiation exposure could be reduced if appropriate X-ray Exposure conditions and the radiation field area were minimized and the assistant wore shielding gloves.

Utility Evaluation of Supportive Devices for Interventional Lower Extremity Angiography (인터벤션 하지 혈관조영검사를 위한 보조기구의 유용성 평가)

  • Kong, Chang gi;Song, Jong Nam;Jeong, Moon Taek;Han, Jae Bok
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.613-621
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    • 2019
  • The purpose of this study is to evaluate the effectiveness of supportive devices which are for minimizing the patient's movement during lower extremity angiography and to verify image quality of phantom by analyzing of Mask image, DSA image and Roadmap image into SNR and CNR. As a result of comparing SNR with CNR of mask image obtained by DSA technique using the phantom alone and phantom placed on the supportive devices, there was no significant difference between about 0~0.06 for SNR and about 0~0.003 for CNR. The study showed about 0.11~0.35 for SNR and 0.016~0.031 for CNR of DSA imaging by DSA technique about only water phantom of the blood vessel model and the water phantom placed on the device. Analyzing SNR and CNR of Roadmap technique about water phantom on the auxiliary device (hardboard paper, pomax, polycarbonate, acrylic) and water phantom alone, there was no significant difference between 0.02~0.05 for SNR and 0.002~0.004 for CNR. In conclusion, there was no significant difference on image quality by using supportive devices made by hardboard paper, pomax, polycarbonate or acryl regardless of whether using supportive devices or not. Supportive devices to minimize of the patient's movement may reduce the total amount of contrast, exam-time, radiation exposure and eliminate risk factors during angiogram. Supportive devices made by hardboard paper can be applied easily during angiogram due to advantages of reasonable price and simple processing. It is considered that will be useful to consider cost efficiency and types of materials and their properties in accordance with purpose and method of the study when the operator makes and uses supportive devices.

A Study on the Accuracy and Convenience of Imaging Method Using Support Device in Knee Joint Lateral Radiography (슬관절의 측면 방사선 촬영에서 보조기구를 이용한 검사방법의 정확성과 편의성에 대한 연구)

  • Uhm, Soyeong;Cho, Yongkeun;Kang, Sungjin
    • Journal of the Korean Society of Radiology
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    • v.11 no.4
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    • pp.253-262
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    • 2017
  • In lateral projection imaging method of knee joint, a method that adjusts the incidence angle of central X-ray toward the head side to $5{\sim}7^{\circ}$ in true lateral position which is existing recommended is called imaging method A, Method of imaging the central X-ray perpendicular to the horizontal plane of the examination table toward the knee is called imaging method B, and a method in which the central X-ray is perpendicularly applied to the joints while the lateral side of the distal tibia is compensated by radiolucent materials is called as method C. After tests each imaging method to classified study subject respectively, the joint space distance and the distance between lateral and medial condyle of femur were measured and compared as the quantitative index from the three imaging methods. In addition, the convenience of each imaging method was confirmed through questionnaires to practician. According to the result of the quantitative index, there is no statistically significant difference in imaging method A and C(p>0.05). However, imaging method B showed a significant difference in both A and C(p<0.05). As a result of evaluating the convenience of the imaging method, imaging method A was relatively assessed lower in all items than imaging methods B and C, and as a small difference, imaging method B is assessed higher than C. In this study suggested new knee joint lateral projection imaging method, by using a simple support device, could describe joint space as not much different as existing recommended method without some complex process, and could increase convenience of the practician in the process of the imaging.

Development of Smart Helmet based on Realtime Information (착용자의 실시간 정보 전송에 기반한 사고 예방 스마트 안전모 개발)

  • Ahn, Hyeong-Wook;Park, No-Il;Kim, Sunmyeng;Oh, Duk-Hwan
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.04a
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    • pp.1209-1210
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    • 2017
  • 착용자의 정보를 실시간으로 전송하여 사고 예방 및 빠른 대처가 가능한 스마트 안전모를 개발한다. 안전모 내부에는 라즈베리파이와 아두이노, 보조배터리, 각종 센서 모듈들이 내장되어 있다. 라즈베리파이는 카메라 모듈과 통신 모듈을 갖고 있다. 아두이노에는 소리센서와 도어락센서, 충격센서가 장착되어 있다. 카메라 모듈을 통해 작업자의 주변 상황에 대해 실시간으로 촬영하고 관리자 서버로 전송한다. 또한 각 센서들은 여러 정보를 수집하고 관리자 서버로 전송한다. 관리자 서버는 수집된 정보를 이용하여 작업자의 상황을 파악하고 분석하여 위험 상황에 대해 적절한 대처를 수행한다. 이러한 여러 기능을 통해 스마트 안전모는 무선통신 환경에서 상황에 따른 센서들의 동작에 의해 착용자의 안전을 도모할 수 있다.

Association of Liver Dysfunction with Self-Medication History in Korean Healthy Male Adults (건강한 한국 성인남성의 자가약물복용력에 따른 간기능 장애 발생여부 조사)

  • Bae, Jong-Myon;Park, Byung-Joo;Lee, Moo-Song;Kim, Dong-Hyun;Shin, Myung-Hee;Ahn, Yoon-Ok
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.4 s.55
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    • pp.801-814
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    • 1996
  • Background: Korean people could abuse healthy foods as well as medications, which might cause serious side effects. The aim of this study was elucidating liver dysfunction due to the self-medications of hepatotonics, healthy foods and herb medications by nested case-control study. Methods: Study subjects were drawn from male members of Seoul Cohort Study who were recruited by self-administered structured questionnaire survey through mailing to the healthy men between the age of 40 and 59 years through the program of biennial health check-up offered by Korea Medical Insurance Corporation(KMIC). The liver dysfunction was defined as the level of serum AST and ALT above 40 IU/L and increased in more than one hunderd per-cent during the 2 year follow-up period. To estimate the odds ratio between self-medication and liver dysfunction after controlling for potential confounders, logistic regression was performed. Results: During the follow-up period, 30 members were identified to fit into case criteria and 2,625 members were selected as control. In logistic regression analyses, history of healthy foods intake, age under 45 years, obesity, and habit of regular exercise were significantly associated with liver dysfunction. The following factors exhibited no statistical significance: intake of hepatotonics, of herb medicine; history of disease in family, of operation, and of radiologic examination; smoking habits and drinking amounts. Conclusion: The significant association between the intake of healthy foods and the liver dysfunction illustrates that chronically optional overuse of healthy foods might bring to hazards to health. As the increasing trend of the size of purchasing healthy foods in Korea, pharmacoepidemiologic studies evaluating the safety and efficacy of the widely used healthy foods should be performed in the near future.

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A Study on Exposure to radiation of the patient who visited an emergency room at a University Hospital (한 대학병원 응급실에 방문한 환자의 방사선 피폭에 관한 연구)

  • Ahn, Buyung-Ju;Lee, Sang-Bock;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.1 no.3
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    • pp.23-34
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    • 2007
  • To find how much radiation was exposed the patients who visit emergency room, a measurement study was made for radiation amount toward 200 patients selected randomly among visitors to an emergency room in a university hospital from March 16 to 31st, 2006. The results are as follows ; 1. Among the subjects 50 person(25.0%) were transferred from other hospitals, 24 persons(8.3) come after traffic accident, 50 persons for other accident and 76 persons for general medical care. 2. The average frequency of X-ray taking was calculated as 6.4 time per person among transferred patients, 14.5 times per person among patients with traffic accident and 2.6 times per person among general medical care. 3. The radiation exposure amount by kind of X-ray showed 28.9mGyfor general X-ray diagnosis, 84.2mGy for CT scanning and 1.02mGy for other special radiation study. 4. Average radiation exposure amount was calculated as 24.6mGy by transferred patients, 55.2mGy by patients with traffic accident, 17.1mGy by patients with other accidents and 17.0mGy by general patients. 5. Through the comparison of radiation exposure amount among to subject with maximum allowance threshold by International Commission on X-ray Radium Protection, transferred patients exceeded 6 times than allowance in whole body except extremities and joints, blood forming organ, reproductive system, vitreous body of eye, bone, thyroid gland, skin and etc, Patient suffered from traffic accidents were exposed 10 times more than allowance. In conclusion, the radiation exposure amount during X-rat diagnosis re too much and exceeded allowance standard by International Commission on X-ray Radium Protection. So further study and preventive measure to decrease radiation exposure by patients who visit emergency room.

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A study on the usefulness of a fusion model designed cloak shield to reduce the radiation exposure of the assistant during CT of severely injured patient (중증외상환자 CT 검사 시 검사보조자의 방사선피폭 경감을 위한 융합적 망토 차폐체의 유용성 연구)

  • Seo, Sun-Youl;Han, Man-Seok;Kim, Chang-Gyu;Jeon, Min-Cheol;Kim, Yong-Kyun;Kim, Gab-Jung
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.211-216
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    • 2017
  • The purpose of this study is to evaluate the usefulness of a newly fusion model designed cloak shield to reduce the radiation exposure of the assistant during CT(computed tomography) of severely injured patient. Radiation dose was measured in the heart, both axillary and thyroid areas using newly designed cloak shield and existing shield with head phantom and human phantom under the same conditions as brain vascular CT scan. The newly designed cloak shield was measured higher for radiation shielding rate than the existing shields, 61.9 % for heart, 46.2 % for left axillary, 69.8 % for right axillary and 71.1 % for thyroid gland, respectively. a newly developed fusion model of cloak shields are useful for reducing radiation exposure. It is expected to make a significant contribution to reduction of radiation exposure.

Ergonomic Evaluation of a Powered Rail Trolley in a Tomato Greenhouse (토마토 온실 내 레일 전동 작업차의 인간공학적 작업 부하 평가)

  • Jeong, Eun Seong;Yang, Myongkyoon;Son, Daesik;Cho, Seong In
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.143-143
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    • 2017
  • 산업이 고도화됨에 따라 자동화 기계 및 로봇에 의해 대량 생산 되는 품목과 달리, 작업 절차의 비정형성, 비연속성 등으로 인해 여전히 농업에 많은 인력이 투입되고 있다. 국제노동기구에 따르면, 세계 인력의 절반이 농업 인력에 해당하고 작업 중 부상이나 사망 등으로 인해 가장 위험한 직업군 중 하나에 해당하는 것으로 나타났다. 시설 재배 농업의 경우, 노동집약적인 온실 내 작업 특성상 잘못된 자세로 작업하거나 지나친 작업량 등으로 인해 작업자에게 근골격계 질환이 발생할 수 있다. 근골격계 질환으로 인해 작업효율이 감소하거나 생산비용의 증가로 이어질 수 있으며, 농가 수익에 손실이 발생할 수 있다. 이에 본 연구에서는 현행 시설 재배 농업에서 사용되는 레일 전동 작업차를 이용하여 작업자가 토마토를 수확할 때의 신체에 대한 농작업의 부하를 평가하고자 하였다. 작업차를 이용한 주요 작업 절차는 작물로부터 과실 수확, 과실 상자에 과실 투입, 빈 과실 상자와 가득 찬 과실 상자의 교대, 작업차 위의 과실 상자를 운반용 파레트에 하역하는 순서로 이루어지는 것을 확인하였다. 비디오장비로 촬영된 일련의 농작업 과정을 OWAS, RULA, REBA와 같은 체크리스트형 인간공학적 작업 부하 평가 도구를 이용하여 평가한 결과, 기존 레일 전동 작업차를 이용한 농작업의 근골격계 질환 유발 가능성을 확인하였다. 동작별 위험성을 토대로 근골격계 질환 유발 가능성이 높아 개선이 필요한 농작업 동작을 선정하였다. 선정된 동작은 실험실 내 환경에서 피실험자를 통한 모의 동작의 생체 신호 계측을 통해 신체 부하 정도를 정량적으로 측정할 수 있으며, 보조가 필요한 신체 부위를 특정하거나 안전성 확보가 필요한 동작에 대한 증거가 될 수 있다. 본 연구를 통해 향후 토마토 온실 내 신선도 유지를 위한 레일 전동 작업차의 개발에 작업자의 안전과 효율성 향상을 위한 인간공학적 설계를 적용할 수 있을 것으로 기대한다.

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